chippy’s AchillesBlog

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Glad you’ve made such great progress. I am happy for you. From what little I know about the process based on my surgeon’s recommendations, what I’ve read, and what other people have said, I’m inclined to endorse what RyanB said. Starting running at 8 weeks might be overly aggressive. That said, walking in two shoes is typical enough for many people; and some resistance therapy often as well.

Again, congrats on your results so far and all the best w/ regaining full strength and returning to all of your activities.

Chippy-
You aren’t the first one who’s been told “all clear” at around 8 weeks. Some of those folks have re-ruptured shortly thereafter. I really think 12 weeks is kind of the earliest point (if all has gone well) to start stressing the tendon; 16 weeks is even safer.
From what I’ve gathered, the 3rd month (weeks 8-12) seems to be about the most dangerous for re-ruptures. I think this is partly because people start feeling good; the tendon starts to feel stronger (stronger than it is though).

Just urging a little caution and patience.

Chippy, healing long is a big topic on the blog, probably because we’re all so obsessive about the injury and recovery Goal is to get full range of motion back while the tendon is healing without overdoing stretching exercises in the first few weeks of treatment.

About your sutures, don’t know if fibre wire is typical, sounds pretty cutting edge!

Hey jjniss; recovery is going really well although the incision is a little pissed off right now and tender. I’ve been over doing it a little by dropping the crutches in less than a week in the boot! I have felt so good that I can get around easily without the crutches or pain. That is until my leg has told me to back off leading to a good rest day and back to crutches.
After reading your warning on tendon stretching and healing too long, I called my doc after reading up further on past blogs. Thanks for that info. I don’t see where I would have tendon stretching when I’m in the fixed position in the boot and do not walk anywhere without it. I never put any pressure on my foot when it’s out of the boot. The other thought is my surgery was completed with fiber wire sutures bringing the tendon together. While there is a small amount of forgiveness I would think these permanent sutures would stop any long healing problems at the healing site. I’ve commented too much now without knowing more. I will know more next Monday after meeting with the surgeon.
Your right it’s not a good ski season although it’s dumping today. I fell in a de

Chippy, you are clearly on top of your recovery, excellent! A hinged boot like the Vaco Cast is the right way to go. I used a different brand, probably not as comfortable as the Vaco Cast but with an adjustable hinge and a molded sole to facilitate a heel to toe gait.

One thing I would caution you on is too much tendon stretching in the first few weeks of recovery. You don’t want the repaired tendon to heal too long, if it does you will not recover full use of your calf muscle. Google “healing long” on this site, you will find a lot of info about it.

Ask your physio about eccentric contraction, a bit early yet in your recovery but important. I wish I had started on it earlier in my rehab.

So you suffered your accident skiing, heard that it can happen but not too common, so I’m told anyway. Well, if there was a ski season to sit out this is the one, certainly in the east.

Second week, stitches out. I am so pleased with my progress of the first two weeks. I’ve been so diligent with icing every couple hours, getting leg down regularly, sometimes adding some pressure to the sole of my cast to bring blood with nutrients and oxygen to the repair area. Raising again to drain and keep swelling down. No accidents or bumps to set me back. Taking supplements every day, keeping very healthy and eating well to give my body every opportunity to mend.
Doctor removed stitches yesterday, the ankle has very minimal swelling although there is some good bruising and numbness on the outside of my ankle. I think the nerve needs some further repair and sends sharp pains sometimes when upset. It’s slowly coming back. I’m in the Vaco boot with partial weight bearing, the ankle setting is on 10 degrees for first week. Adjusting boot cant to 0 degrees second week, then we go to full weight bearing week 4 without crutches.
This morning started with some very light stretching exercises by hanging my leg low over some stairs, this gives my calf muscle a stretch and feels really good. I push back my straight leg giving my qua

I’ve seen more raves and fewer complaints about the Vaco than any other boot. Almost 100% “like” and ~90% “love”, I’d say. I doubt the speed claims, though. But having a hinge in the boot is great around week 6-8, when moving toward two shoes. Except for that, simpler (& <$) fixed boots like the AirCast have produced excellent results, with and w/out surgery — e.g. in the UWO study.

Hi Chippy,
I found the vacocast really good but had a few issues especially with the liner once I started full weightbearing on it. See my page on boots and casts

thanks for the feedback on the boot. hopefully insurance reimburses me for the cost and it works out well. Apparently they have a zipper bootie that covers the lower portion of the boot and toes that comes in grey. Ordered one of those for our upcoming trip to Paris.

Hi Chippy,
Great to hear you had a successful check-up!
Quite a few of us have bought the Vaco Cast. I got the Vaco Cast Pro, $ 299 plus shipping and I found it to be far superior to the boot provided by my surgeon.
In my case the Vaco did not result in faster healing when compared to other ATR victims here who were injured at around the same date as myself. However, the comfort level made it worth every penny, specially for sleeping. The boot is light, the lining is soft, and the sole removable and washable.
Other than that, be careful with the stairs and always wear your boot.

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